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By Byron J. Masterson
For a good portion of the hot details during this ebook. His skill to pick the real advancements from the literature of the final 5 years used to be necessary to the finishing touch of this moment variation. extra, Dr. Stone's unique study on wounds and sutures is integrated during this quantity. Dr. Felix Rutledge and Dr. Laman grey, Sr., as well as all of the named authors, made invaluable reviews. Their years of expertise have been specially priceless in updating the chapters on ovarian surgical procedure and vaginal hysterectomy. My own Administrative Assistant, Elizabeth Davies, effectively coor dinated my a number of scientific schedules, conversing engagements and division duties, offering me the time important for penning this ebook. the recommendation and help of Jerry Stone, Senior clinical Editor, Springer Verlag, additionally have been precious within the creation of this version. finally, considered one of our staff turned ailing whereas we have been getting ready this publication and to that end died of an extraordinary malignancy. Her amazing paintings whereas with us and her persevered curiosity and encouragement, even supposing really folks. Mrs. Sue Koenig used to be a vibrant, useful sick, used to be an proposal to all and potent co-worker whom is neglected by way of we all within the division of Obstetrics and Gynecology on the collage of Louisville.
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Additional resources for Manual of Gynecologic Surgery
Example text
There is no need for a cervical tenaculum if the direction of the cavity is easily determined, but if marked retroversion or anteversion is present, a tenaculum may facilitate curette introduction (Fig. 1-18). * Masterson endometrial diagnostic FIGURE 22 1-17. device, Gyneco, Inc, 51 Chubb Way, Branchburg, NJ 08876. The Masterson endometrial biopsy unit. Uterine Ambulatory Surgery FIGURE 1-18. Endometrial aspiration biopsy. Gently insert the curette after determining the direction of the uterus by palpation and cleaning the cervix with povidoneiodine (Betadine) or aqueous benzalkonium (Zephiran).
He used a para-cervical block for local anesthesia in 372 of these cases. Fortyfive percent of all the patients had a significant hysteroscopic finding. Failure 23 Ambulatory Surgery to complete the procedure occurred in only 6 patients and no infections or perforations were noted. This combination of hysteroscopy and endometrial biopsy may point the direction toward more precise tissue sampling and diagnostic accuracy in abnormal uterine bleeding. Dilatation and Curettage The safety of D & C on an outpatient basis is well established.
Cytology, colposcopy, colposcopically-directed biopsies, endocervical curettage, and pelvic examination are minimum diagnostic procedures required before outpatient therapy is initiated. 12 Colposcopy The colposcope, as described in Europe in the late 1920s by Hinselman, is a useful diagnostic instrument. The author prefers to use the colposcope to suggest areas where biopsy would be most informative. Although there have been innumerable symposia and seminars on the use of colposcopy held about the country, the key is still to confirm each diagnosis that involves a neoplastic process with tissue biopsy.